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Hiring for "Healthcare Consultant III - Care Manager" in Jefferson County, KY with Travel up to 80-90 %
LanceSoft Inc
- 🇺🇸 United States
- On-site
- Manager or above
- 5 days ago
- crisis intervention
- MS Office
- Excel
5 days ago
**** Job Title: ‘Healthcare Consultant I/ Care Coordinator’** **
**Â Position Type: Full-Time Contract Role**
****Â Location: Jefferson county, KY **Â **
**Work Type: Travel up to 80-90 %Â + Remote 20 - 10% Â **
**** Est. Pay Range: : $30.00/hour – $35.00/Hour on W2 (USD) all inclusive ** **
****Schedule: Monday-Friday 8am-5pm with the flexibility to work until 7PM in the field EST.****
Description:
Looking for Kentucky.Â
Must reside in Jerfferson County.Â
Field position
Position Summary
hiring for multiple openings across the state/regions of Kentucky.Â
Intensive Case Manager utilizes critical thinking and professional judgment to support the case management process, in order to facilitate and maintain improved healthcare outcomes for members by providing advocacy, collaboration coordination, support and education for members through the use of care management tools and resources.
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This is a Field position that requires regional in-state travel 80-90% of the time. Qualified candidate must have reliable transportation. Travel to the Louisville office for meetings and training is also anticipated. Travel to member's homes, schools, hospitals, doctor's offices, DCBS offices etc. is expected for member face to face time. Â This position is assigned to the Jefferson Region Jefferson County. Qualified candidates must reside in Jefferson county in the assigned region. Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm EST, is required. We are serving the needs of children and families that may require working after school, after work, etc.
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Job Description
Evaluation of Members:
- Through the use of care management assessments and information/data review, recommends an approach to resolving care needs maintaining optimal health and well-being by evaluating member’s benefit plan and available internal and external programs/services.
- Identifies high risk factors and service needs that may impact member outcomes and implements early and proactive support interventions.
- Coordihonic positionnates and implements Wellness care plan activities and monitors member care needs.
Enhancement of Medical Appropriateness and Quality of Care:
- Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
- Identifies and escalates quality of care issues through established channels.
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
- Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Monitoring, Evaluation and Documentation of Care:
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
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Required Qualifications :
- Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations, is required.
- Minimum 2 year of experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- Minimum 1 year of experience in MS Office Suite applications, including Word and Excel.
- Willing and able to travel 80-90% of their time to meet members face to face in their assigned region.
- Candidate must reside in: Jefferson County
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Preferred Qualifications
- 3+ years' experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
- 1+ MCO experience.
Duties  Â
Determines medical necessity/ appropriateness
Facilitates optimal outcomes
Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action
Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
Optimize total costs
Implementation and evaluation of policy based on usage and program directives
Educate/empower colleagues at all levels to enable decision making at most appropriate level?
Experience  Â
- Minimum 5 years of relevant experience
Position Summary  Â
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Education  Â
Bachelor's degree in relevant subject
 
If you believe you're qualified for this position and are currently in the job market or interested in making a change, please give me a call as soon as possible at 571 678 0714.
Hiring for "Healthcare Consultant III - Care Manager" in Jefferson County, KY with Travel up to 80-90 % · LanceSoft Inc